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MODERN PSYCHIATRY AND WELLNESS LLC

Clinic/Center, Adult Mental Health·HAMILTON, OH·NPI: 1225260888Share

Compared to Clinic/Center, Adult Mental Health Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.1M is at the 50th percentile among 10 Clinic/Center, Adult Mental Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$44.1M

$44,144,985

Total Claims

619K

Beneficiaries

249K

2.5 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+15%
2019
$5.4M
+5%
2020
$5.6M
+11%
2021
$6.3M
+18%
2022
$7.4M
+8%
2023
$8.0M
-14%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 47% of total spending.

H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$20.9M

124K claims · 47.3%

Your Cost: $167.66/claim|Median: $129.75
1.3× median
H0006Normal range

Alcohol and/or drug services, case management

$9.5M

200K claims · 21.6%

Your Cost: $47.72/claim|Median: $43.10
1.1× median
H0005Normal range

Alcohol and/or drug services, group counseling

$3.1M

80K claims · 7.1%

Your Cost: $39.19/claim|Median: $47.35
0.8× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$2.1M

22K claims · 4.8%

Your Cost: $98.51/claim|Median: $53.41
1.8× median
H0014Normal range

$2.1M

8,782 claims · 4.7%

Your Cost: $233.83/claim|Median: $137.81
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$1.6M

19K claims · 3.7%

Your Cost: $85.72/claim|Median: $85.66
1.0× median
H0048Normal range

$712K

54K claims · 1.6%

Your Cost: $13.22/claim|Median: $13.25
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$637K

24K claims · 1.4%

Your Cost: $26.59/claim|Median: $24.24
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$552K

13K claims · 1.3%

Your Cost: $42.87/claim|Median: $35.43
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$411K

4,524 claims · 0.9%

Your Cost: $90.85/claim|Median: $99.21
0.9× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$393K

6,274 claims · 0.9%

Your Cost: $62.63/claim|Median: $37.81
1.7× median
99350Top 5%

$393K

2,224 claims · 0.9%

Your Cost: $176.61/claim|Median: $35.62
5.0× median
H0012Normal range

$278K

1,064 claims · 0.6%

Your Cost: $261.13/claim|Median: $295.95
0.9× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$255K

5,498 claims · 0.6%

Your Cost: $46.46/claim|Median: $38.83
1.2× median
T1002Normal range

RN services, per 15 minutes

$228K

6,376 claims · 0.5%

Your Cost: $35.76/claim|Median: $37.42
1.0× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$105K

687 claims · 0.2%

Your Cost: $153.49/claim|Median: $84.03
1.8× median
99215Top 25%

Office/outpatient visit, high complexity

$103K

800 claims · 0.2%

Your Cost: $128.27/claim|Median: $74.09
1.7× median
82075Normal range

Alcohol (ethanol) breath test

$100K

5,901 claims · 0.2%

Your Cost: $16.92/claim|Median: $16.59
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$76K

1,313 claims · 0.2%

Your Cost: $58.19/claim|Median: $63.65
0.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$67K

359 claims · 0.2%

Your Cost: $185.44/claim|Median: $111.09
1.7× median
90853Normal range

Group psychotherapy

$38K

2,722 claims · 0.1%

Your Cost: $14.06/claim|Median: $25.02
0.6× median
J2315Normal range

$36K

30 claims · 0.1%

Your Cost: $1,210.68/claim|Median: $1,045.36
1.2× median
80346Top 25%

$35K

2,069 claims · 0.1%

Your Cost: $16.83/claim|Median: $8.14
2.1× median
90832Normal range

Psychotherapy, 30 minutes

$33K

692 claims · 0.1%

Your Cost: $46.99/claim|Median: $41.28
1.1× median
80362Top 25%

$29K

2,055 claims · 0.1%

Your Cost: $14.02/claim|Median: $5.83
2.4× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$26K

247 claims · 0.1%

Your Cost: $106.69/claim|Median: $57.85
1.8× median
80361Normal range

$21K

1,571 claims · 0.0%

Your Cost: $13.13/claim|Median: $7.53
1.7× median
80359Normal range

$20K

2,494 claims · 0.0%

Your Cost: $7.94/claim|Median: $4.98
1.6× median
80371Normal range

$19K

2,497 claims · 0.0%

Your Cost: $7.75/claim|Median: $4.34
1.8× median
80354Normal range

$19K

2,447 claims · 0.0%

Your Cost: $7.83/claim|Median: $5.61
1.4× median
80360Normal range

$19K

2,385 claims · 0.0%

Your Cost: $7.95/claim|Median: $5.43
1.5× median
80324Normal range

$19K

2,367 claims · 0.0%

Your Cost: $7.93/claim|Median: $6.08
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$19K

471 claims · 0.0%

Your Cost: $39.76/claim|Median: $39.70
1.0× median
80355Normal range

$16K

2,037 claims · 0.0%

Your Cost: $8.01/claim|Median: $6.21
1.3× median
99345Top 10%

$16K

70 claims · 0.0%

Your Cost: $229.72/claim|Median: $56.78
4.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$15K

201 claims · 0.0%

Your Cost: $75.88/claim|Median: $77.33
1.0× median
80356Normal range

Benzodiazepine drug assay by definitive method

$15K

1,959 claims · 0.0%

Your Cost: $7.60/claim|Median: $5.78
1.3× median
80373Normal range

$15K

1,885 claims · 0.0%

Your Cost: $7.81/claim|Median: $6.39
1.2× median
80323Normal range

$12K

1,656 claims · 0.0%

Your Cost: $7.35/claim|Median: $7.53
1.0× median
80358Normal range

$11K

1,483 claims · 0.0%

Your Cost: $7.23/claim|Median: $5.06
1.4× median
80365Normal range

$10K

1,423 claims · 0.0%

Your Cost: $7.24/claim|Median: $5.24
1.4× median
80366Normal range

$9K

1,207 claims · 0.0%

Your Cost: $7.83/claim|Median: $5.67
1.4× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$9K

423 claims · 0.0%

Your Cost: $21.36/claim|Median: $91.63
0.2× median
99349Top 5%

$9K

72 claims · 0.0%

Your Cost: $118.29/claim|Median: $24.29
4.9× median
80348Normal range

$7K

952 claims · 0.0%

Your Cost: $7.44/claim|Median: $6.63
1.1× median
80350Normal range

$6K

815 claims · 0.0%

Your Cost: $7.96/claim|Median: $7.18
1.1× median
81025Normal range

Urine pregnancy test

$5K

959 claims · 0.0%

Your Cost: $5.28/claim|Median: $4.81
1.1× median
80349Normal range

$5K

607 claims · 0.0%

Your Cost: $7.89/claim|Median: $5.96
1.3× median
90785Normal range

$4K

413 claims · 0.0%

Your Cost: $9.24/claim|Median: $6.43
1.4× median
80368Normal range

$4K

475 claims · 0.0%

Your Cost: $7.77/claim|Median: $5.64
1.4× median

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Similar Providers

Other top providers in Clinic/Center, Adult Mental Health

County of Kern

Bakersfield, CA

$473.4M

Sunrise Treatment Center, LLC

Cincinnati, OH

$130.1M

Holyoke Medical Center, Inc.

Holyoke, MA

$125.1M

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